Individual
MARIA FERNANDA KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 57TH ST, WEST NEW YORK, NJ 07093-2119
(201) 295-1456
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA11463400
NJ
207RG0100X
Gastroenterology Physician
280291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0955663
—
NJ
Enumeration date
09/15/2008
Last updated
01/03/2024
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